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Neuroradiology Approach to Head CT

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Page 1: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

Neuroradiology

Approach to Head CT

Page 2: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

Rapid Assessment of CT head or Do I need to call a Neurosurgeon

NOW!!!1. Is the brain in the middle of the head?

2. Do the 2 sides of the brain look alike?

3. Can I see the smile and the pentagon?

4. Is the 4th ventricle in the midline and symmetrical?

5. Are the lateral ventricles huge with effaced sulci?• + the Anderson additional questions

6. Are there any abnormal white things inside the skull?

7. Are there any abnormal black things inside the skull?

1 – 5 From Brant & Helms “Fundamentals of Diagnostic Radiology” 2nd ed.

Page 3: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

Is the brain in the middle of the head?

YES NO

Page 4: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

Do the 2 sides of the brain look alike?

YES NO

Page 5: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

The Smile• Quadrigeminal Plate Cistern

Page 6: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

The Pentagon (or star)• Suprasellar Cistern

Page 7: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

No Smile, No Pentagon

No Good!!

Page 8: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

4th Ventricle

Page 9: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

4th Ventricle

Page 10: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

Are the lateral ventricles huge with effaced sulci?

Page 11: Neuroradiology Approach to Head CT. Rapid Assessment of CT head or Do I need to call a Neurosurgeon NOW!!! 1.Is the brain in the middle of the head? 2.Do

Ventriculomegaly

2 different 30ish year old patients


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